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Topic:Strangles

Strangles is a highly contagious bacterial infection affecting horses, caused by the bacterium Streptococcus equi subspecies equi. It primarily impacts the upper respiratory tract and is characterized by fever, nasal discharge, and swelling of the lymph nodes, which may abscess and rupture. Transmission occurs through direct contact with infected horses or contaminated environments. Diagnosis is typically confirmed through bacterial culture or PCR testing of nasal swabs or abscess material. Management of strangles involves isolation of affected animals, supportive care, and in some cases, antibiotic treatment. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, pathogenesis, diagnostic methods, treatment options, and prevention strategies for strangles in equine populations.
An outbreak of strangles associated with a novel genotype of Streptococcus equi subspecies equi in donkeys in China during 2018.
Equine veterinary journal    April 10, 2019   Volume 51, Issue 6 743-748 doi: 10.1111/evj.13114
Dong J, Gao N, Waller AS, Cook FR, Fan S, Yuan D, Du Y, Li F, Norimine J, Zhu W.Strangles is a highly contagious respiratory disease of equids caused by the bacterium Streptococcus equi subspecies equi. Objective: To identify the cause of an outbreak of strangles that occurred on donkey farms within the Shandong Province of China and determine the prevalence of the disease. Methods: Cross-sectional. Methods: Samples were taken from clinically affected animals to measure the prevalence of strangles within the population of donkeys at six intensive farms in China and identify the SeM type of isolate recovered from affected animals. Diagnosis was confirmed by bacterial isola...
Surveillance of equine strangles: a new initiative.
The Veterinary record    March 16, 2019   Volume 184, Issue 11 342-344 doi: 10.1136/vr.l1188
from the Animal Health Trust introduces a new project to gather information on cases of strangles in horses throughout the UK.
Long term silent carriers of Streptococcus equi ssp. equi following strangles; carrier detection related to sampling site of collection and culture versus qPCR.
Veterinary journal (London, England : 1997)    February 11, 2019   Volume 246 66-70 doi: 10.1016/j.tvjl.2019.02.003
Pringle J, Venner M, Tscheschlok L, Bächi L, Riihimäki M.After strangles outbreaks, Streptococcus equi ssp. equi (S. equi) can persist in clinically normal silent carriers for months to years. Two naturally occurring outbreaks of strangles with 53 and 100% morbidity, respectively, were followed longitudinally to assess occurrence of carrier state and optimal detection methods Outbreak A involved 98 yearling warmbloods, and outbreak B 38 mature Icelandic horses. Fully recovered horses were sampled at least 6 months after index cases using nasal swabs (one sampling occasion only) nasopharyngeal lavage and guttural pouch visualisation and lavages for c...
Strangles, convalescent Streptococcus equi subspecies equi M antibody titers, and presence of complications.
Journal of veterinary internal medicine    December 6, 2018   Volume 33, Issue 1 275-279 doi: 10.1111/jvim.15388
Delph KM, Beard LA, Trimble AC, Sutter ME, Timoney JF, Morrow JK.Streptococcus equi subspecies equi infection elicits M protein antibody titers in equids. Interpretation of titers is not generally accepted. Objective: The magnitude of S. equi M protein (SeM) antibody titer after infection (titer ≥1:12 800) will be useful to monitor for the presence of complications or the risk of development of complications. Methods: Forty-eight horses on 1 farm involved in strangles outbreak. Methods: Clinical and observational study. S. equi M protein antibody titers were measured on all horses 8 weeks after infection and select horses 12 and 28 weeks after infecti...
Long term dynamics of a Streptococcus equi ssp equi outbreak, assessed by qPCR and culture and seM sequencing in silent carriers of strangles.
Veterinary microbiology    July 27, 2018   Volume 223 107-112 doi: 10.1016/j.vetmic.2018.07.016
Riihimäki M, Aspán A, Ljung H, Pringle J.The aim of the study was to use culture, qPCR and seM sequencing to map Streptococcus equi subspec. equi (S.equi) isolates in long term carrier animals. A strangles outbreak affecting 41 Icelandic horses was followed to determine strangles free status using nasal and/or guttural pouch lavages collected serially on eleven separate occasions over 13 months. Ten persistent carriers, of which eight had repeated culture positive samples for S. equi, were selected for the study. Of 115 samples collected, 61 were S. equi positive on qPCR; from which 32 were also culture positive. Amplification of par...
Streptococcus equi: breaking its strangles-hold.
The Veterinary record    March 17, 2018   Volume 182, Issue 11 316-318 doi: 10.1136/vr.k1231
Waller A., head of bacteriology at the AHT, describes the causative agent of strangles in horses, and discusses progress with the latest research aimed at improving vaccines against this global disease.
Use of quantitative real-time PCR to determine viability of Streptococcus equi subspecies equi in respiratory secretions from horses with strangles.
Equine veterinary journal    February 10, 2018   Volume 50, Issue 5 697-700 doi: 10.1111/evj.12809
Pusterla N, Leutenegger CM, Barnum SM, Byrne BA.In recent years, molecular approaches have been able to characterise the viability of equine upper respiratory tract pathogens using absolute molecular quantitation as well as detection of transcripts for virulence genes. Objective: The objective of this study was to investigate molecular surrogates for S. equi subspecies equi (S. equi) viability in biological samples from horses with strangles. Methods: Retrospective cross-sectional study. Methods: S. equi culture-positive and culture-negative upper airway secretions were assessed by qPCR at the genomic (gDNA) and complimentary DNA (cDNA) ...
Streptococcus equi Infections in Horses: Guidelines for Treatment, Control, and Prevention of Strangles-Revised Consensus Statement.
Journal of veterinary internal medicine    February 9, 2018   Volume 32, Issue 2 633-647 doi: 10.1111/jvim.15043
Boyle AG, Timoney JF, Newton JR, Hines MT, Waller AS, Buchanan BR.This consensus statement update reflects our current published knowledge and opinion about clinical signs, pathogenesis, epidemiology, treatment, complications, and control of strangles. This updated statement emphasizes varying presentations in the context of existing underlying immunity and carrier states of strangles in the transmission of disease. The statement redefines the "gold standard" for detection of possible infection and reviews the new technologies available in polymerase chain reaction diagnosis and serology and their use in outbreak control and prevention. We reiterate the impo...
Strangvac: A recombinant fusion protein vaccine that protects against strangles, caused by Streptococcus equi.
Vaccine    February 2, 2018   Volume 36, Issue 11 1484-1490 doi: 10.1016/j.vaccine.2018.01.030
Robinson C, Frykberg L, Flock M, Guss B, Waller AS, Flock JI.The host-restricted pathogen Streptococcus equi causes strangles in the horse, which is characterised by abscessation of the lymph nodes of the head and neck. The disease is endemic throughout the world causing considerable welfare and economic cost to the horse industry. Here we report the results of three studies where ponies were vaccinated with combinations of recombinant fusion proteins to optimise vaccine production and the level of protection conferred. Optimal protection was conferred by a prototype multicomponent subunit vaccine, Strangvac 4, which contained eight proteins CNE, SclC, ...
Decreased Clinical Severity of Strangles in Weanlings Associated with Restricted Seroconversion to Optimized Streptococcus equi ssp equi Assays.
Journal of veterinary internal medicine    January 30, 2018   Volume 32, Issue 1 459-464 doi: 10.1111/jvim.15037
Tscheschlok L, Venner M, Steward K, Böse R, Riihimäki M, Pringle J.Streptococcus equi ssp. equi causes characteristic clinical signs that are most severe in young horses, including fever, purulent nasal discharge, and lymph node abscessation in the head region. Objective: Clinical, serologic, and microbiologic factors related to unexpectedly mild disease severity in a natural outbreak of strangles in immunologically naïve weanlings were investigated. Methods: One-hundred and twelve warmblood weanlings. Methods: Prospective longitudinal observational study of a natural outbreak of strangles. The entire cohort was examined at the peak of the outbreak by deep n...
[Antimicrobial susceptibility in isolates of Streptococcus equi subsp. equi from Buenos Aires province, Argentina].
Revista Argentina de microbiologia    December 1, 2017   Volume 50, Issue 3 295-300 doi: 10.1016/j.ram.2017.05.006
Bustos CP, Marfil MJ, Lanza NS, Guida N.Streptococcus equi subsp. equi is the etiologic agent of strangles, an infectious disease affecting the upper respiratory tract and head and neck lymph nodes of equines. Routine antimicrobial therapy includes penicillin (PEN) as antibiotic of first choice. Streptococci are usually susceptible to PEN and only a few antimicrobial studies had been performed. The aim of this work was to study the antimicrobial susceptibility profile of S. equi from Buenos Aires, Argentina. Ninety-two isolates were studied by the single disk method to PEN, cefotaxime, erythromycin (ERY), tetracycline, enrofloxacin ...
Investigation of the Fim1 putative pilus locus of Streptococcus equi subspecies equi.
Microbiology (Reading, England)    July 28, 2017   Volume 163, Issue 8 1217-1228 doi: 10.1099/mic.0.000506
Steward KF, Robinson C, Maskell DJ, Nenci C, Waller AS.The Gram-positive bacterium subspecies () is the causative agent of strangles, among the most frequently diagnosed infectious diseases of horses worldwide. Genome analysis of strain 4047 (4047) identified a putative operon, Fim1, with similarity to the pilus loci of other Gram-positive bacteria. The Fim1 locus was present in all strains of and its close relative subspecies () that have been studied to date. In this study we provide evidence that the putative structural pilus proteins, SEQ_0936 and CNE, are produced on the cell surface during growth and infection. Although the proteins ...
Defining the ABC of gene essentiality in streptococci.
BMC genomics    May 31, 2017   Volume 18, Issue 1 426 doi: 10.1186/s12864-017-3794-3
Charbonneau ARL, Forman OP, Cain AK, Newland G, Robinson C, Boursnell M, Parkhill J, Leigh JA, Maskell DJ, Waller AS.Utilising next generation sequencing to interrogate saturated bacterial mutant libraries provides unprecedented information for the assignment of genome-wide gene essentiality. Exposure of saturated mutant libraries to specific conditions and subsequent sequencing can be exploited to uncover gene essentiality relevant to the condition. Here we present a barcoded transposon directed insertion-site sequencing (TraDIS) system to define an essential gene list for Streptococcus equi subsp. equi, the causative agent of strangles in horses, for the first time. The gene essentiality data for this grou...
Discrimination of Streptococcus equi subsp. equi and Streptococcus equi subsp. zooepidemicus using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. Mani RJ, Thachil AJ, Ramachandran A.Accurate and timely identification of infectious etiologies is of great significance in veterinary microbiology, especially for critical diseases such as strangles, a highly contagious disease of horses caused by Streptococcus equi subsp. equi. We evaluated a matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) platform for use in species- and subspecies-level identification of S. equi isolates from horses and compared it with an automated biochemical system. We used 25 clinical isolates each of S. equi subsp. equi and S. equi subsp. zooepidemicus. Using ...
Vet students help regiments declare their horses to be ‘strangles free’.
The Veterinary record    April 15, 2017   Volume 180, Issue 15 373 doi: 10.1136/vr.j1816
No abstract available
Immunogenicity of phospholipase A2 toxins and their role in Streptococcus equi pathogenicity.
Veterinary microbiology    April 4, 2017   Volume 204 15-19 doi: 10.1016/j.vetmic.2017.04.002
López-Álvarez MR, Salze M, Cenier A, Robinson C, Paillot R, Waller AS.Streptococcus equi subsp. equi (S. equi) is the causative agent of strangles, one of the most frequently diagnosed infectious diseases of horses worldwide. Phospholipase A toxins (PLA) cleave phospholipid molecules at position sn-2 contributing to the production of leukotrienes that are important inflammatory mediators. Two homologous phospholipases, SlaA and SlaB are encoded by the S. equi genome suggesting that PLA toxins may contribute to its pathogenicity. Here we report the immunogenicity and role of PLA toxins during natural and experimental infection of horses with S. equi. The levels o...
Comparison of nasopharyngeal and guttural pouch specimens to determine the optimal sampling site to detect Streptococcus equi subsp equi carriers by DNA amplification.
BMC veterinary research    March 23, 2017   Volume 13, Issue 1 75 doi: 10.1186/s12917-017-0989-4
Boyle AG, Stefanovski D, Rankin SC.Streptococcus equi subsp equi (S. equi) is the cause of "equine strangles" which is a highly infectious upper respiratory disease. Detection of S. equi is influenced by site of specimen collection, method of sampling, and type of diagnostic test that is performed. We hypothesized i) that a loop-mediated isothermal amplification (LAMP) assay that targets the S. equi-specific eqbE gene would be more sensitive than a realtime PCR assay that targets the S. equi-specific seeI gene and ii) that LAMP of specimens obtained by guttural pouch lavage (GPL) would be more sensitive than LAMP of nasopharyng...
Strangles: A modern clinical view from the 17th century.
Equine veterinary journal    February 9, 2017   Volume 49, Issue 2 141-145 doi: 10.1111/evj.12659
Paillot R, Lopez-Alvarez MR, Newton JR, Waller AS.No abstract available
Streptococcus equi subspecies equi in horses in Israel: seroprevalence and strain types.
Veterinary record open    August 16, 2016   Volume 3, Issue 1 e000187 doi: 10.1136/vetreco-2016-000187
Tirosh-Levy S, Blum SE, Steward KF, Waller AS, Steinman A.The purpose of this cross-sectional study was to determine the seroprevalence of Streptococcus equi in Israel, to monitor seropositive horses over time and to identify archived strains that were recovered from Israeli horses. A serological survey of 200 healthy horses on 20 farms throughout Israel was performed to detect recent exposure to S equi antigens A and C via indirect ELISA. Seroprevalence was 9.5 per cent (19/200) and positive horses were found in 30 per cent (6/20) of the farms. Sixteen horses that returned a positive serology result were retested three and six months later. Most (12...
Strangles in Arabian horses in Egypt: Clinical, epidemiological, hematological, and biochemical aspects.
Veterinary world    August 6, 2016   Volume 9, Issue 8 820-826 doi: 10.14202/vetworld.2016.820-826
Neamat-Allah AN, Damaty HM.Respiratory tract infections are considered the major problem of equine worldwide. Strangles is an infectious and highly contagious respiratory bacterial disease of equine caused by Streptococcus equi. This study is aimed to evaluate some clinical and epidemiological investigation associated with strangles and to study the hematological and biochemical changes in 20 Arabian horse naturally infected with S. equi during the disease and after 10 days from treatment by procaine penicillin with benzathine penicillin. Methods: A total of 490 Arabian horses have been examined, 120 (24.5%) have been c...
Detection and differentiation of wild-type and a vaccine strain of Streptococcus equi ssp. equi using pyrosequencing.
Vaccine    June 17, 2016   Volume 34, Issue 34 3935-3937 doi: 10.1016/j.vaccine.2016.06.035
Livengood JL, Lanka S, Maddox C, Tewari D.Streptococcus equi subspecies equi (S. equi), the causative agent of strangles, is an important equine pathogen. Strangles is a highly contagious disease and a commercial modified live vaccine (MLV) is used for protection, which although effective, may also result in clinical signs of the disease. A rapid means to differentiate between the MLV and wild-type infection is crucial for quarantine release and limiting the disease spread. This study describes the use of a pyrosequencing assay targeting a single nucleotide deletion upstream of the SzPSe gene to distinguish between the wild-type and v...
Strangles: a pathogenic legacy of the war horse.
The Veterinary record    January 23, 2016   Volume 178, Issue 4 91-92 doi: 10.1136/vr.i123
Waller AS.Strangles, characterised by pyrexia followed by abscessation of the lymph nodes of the head and neck, was first described in 1251 (Rufus 1251) and the causative agent, Streptococcus equi, was identified in 1888 (Schutz 1888). However, despite more than a century of research into this disease, strangles remains the most frequently diagnosed infection of horses with over 600 outbreaks being identified in the UK alone each year (Parkinson and others 2011). Here, Andrew Waller reviews some of the recent advances in the understanding of the evolution of S equi and puts this into the context of prev...
Prevalence of Streptococcus equi subsp. equi in horses and associated risk factors in the State of Rio Grande do Sul, Brazil.
Research in veterinary science    November 14, 2015   Volume 104 53-57 doi: 10.1016/j.rvsc.2015.11.009
Libardoni F, Machado G, Gressler LT, Kowalski AP, Diehl GN, dos Santos LC, Corbellini LG, de Vargas AC.The aim of this study was to estimate the prevalence of equine strangles and to identify associated risk factors for this disease through a cross-sectional study of nasal swabs. Nasal swabs (n=1010) from healthy equines (absence of nasal discharge, lymphadenopathy and cough) from 341 farms were plated on 5% blood agar; of these horses, 24 were identified as positive for Streptococcus equi through isolation, PCR and DNA sequencing. The estimated prevalence for individual animals was 2.3%, and for herds, it was 5.86%. Statistical analysis identified the following as associated risk factors: the ...
Predictor variables for and complications associated with Streptococcus equi subsp equi infection in horses.
Journal of the American Veterinary Medical Association    November 1, 2015   Volume 247, Issue 10 1161-1168 doi: 10.2460/javma.247.10.1161
D○ LR, Stefanovski D, Boston RC, Boyle AG.To evaluate predictor variables for and complications associated with Streptococcus equi subsp equi infection (strangles) in horses. Methods: Retrospective case-control study. Methods: 108 horses with strangles (cases) and 215 horses without strangles (controls). Methods: Medical records from January 2005 through July 2012 were reviewed. Cases were defined as horses with clinical signs of strangles (pyrexia, retropharyngeal lymphadenopathy, and mucopurulent nasal discharge) that were associated with a confirmed strangles outbreak or had positive results for S equi on PCR assay or bacteriologic...
Practical management of strangles outbreaks in horses.
Australian veterinary journal    October 7, 2015   Volume 93, Issue 8 N20 
Richmond R.No abstract available
A human case of strangles (equine distemper) with skin lesions.
Indian journal of dermatology, venereology and leprology    August 12, 2015   Volume 82, Issue 2 198-200 doi: 10.4103/0378-6323.162320
Brzezinski P, Chiriac A.No abstract available
Rapid diagnosis of strangles (Streptococcus equi subspecies equi) using PCR.
Research in veterinary science    August 9, 2015   Volume 102 162-166 doi: 10.1016/j.rvsc.2015.08.008
Cordoni G, Williams A, Durham A, Florio D, Zanoni RG, La Ragione RM.Strangles is one of the most common equine infectious diseases with serious health, welfare and socio-economic impact. However, the detection of Streptococcus equi subspecies equi can be challenging and persistently infected carriers are common. Furthermore, the use of classical microbiology can result in an underestimation of the prevalence of the disease. The difficulties associated with the slow diagnosis of Strangles can result in rapid spread of the disease. Therefore, rapid and economical diagnostic tests are urgently required. Here, two multiplex assays, were developed and validated for...
Genome specialization and decay of the strangles pathogen, Streptococcus equi, is driven by persistent infection.
Genome research    July 9, 2015   Volume 25, Issue 9 1360-1371 doi: 10.1101/gr.189803.115
Harris SR, Robinson C, Steward KF, Webb KS, Paillot R, Parkhill J, Holden MT, Waller AS.Strangles, the most frequently diagnosed infectious disease of horses worldwide, is caused by Streptococcus equi. Despite its prevalence, the global diversity and mechanisms underlying the evolution of S. equi as a host-restricted pathogen remain poorly understood. Here, we define the global population structure of this important pathogen and reveal a population replacement in the late 19th or early 20th Century. Our data reveal a dynamic genome that continues to mutate and decay, but also to amplify and acquire genes despite the organism having lost its natural competence and become host-rest...
Strangles in horses can be caused by vaccination with Pinnacle I. N.
Vaccine    May 27, 2015   Volume 33, Issue 30 3440-3443 doi: 10.1016/j.vaccine.2015.05.009
Cursons R, Patty O, Steward KF, Waller AS.The differentiation of live attenuated vaccine strains from their progenitor and wild-type counterparts is important for ongoing surveillance of product safety and improved guidelines on their use. We utilised a genome sequencing approach to confirm that two cases of strangles in previously healthy horses that had received the Pinnacle I. N. vaccine (Zoetis) were caused by the vaccine strain. Our data shed new light on the safety of this vaccine and suggest that factors beyond the maturity of the animal's immune system influence the development of adverse reactions.
Localised mitogenic activity in horses following infection with Streptococcus equi.
Research in veterinary science    March 11, 2015   Volume 100 100-104 doi: 10.1016/j.rvsc.2015.03.015
McLean R, Rash NL, Robinson C, Waller AS, Paillot R.Streptococcus equi subspecies equi (S. equi) is the causative agent of strangles, a highly contagious upper respiratory disease of equids. Streptococcus equi produces superantigens (sAgs), which are thought to contribute to strangles pathogenicity through non-specific T-cell activation and pro-inflammatory response. Streptococcus equi infection induces abscesses in the lymph nodes of the head and neck. In some individuals, some abscess material remains into the guttural pouch and inspissates over time to form chondroids which can harbour live S. equi. The aim of this study was to determine...